An assessment of feeding jejunostomy tube placement at the time of resection for gastric adenocarcinoma: A seven-institution analysis of 837 patients from the U.S. gastric cancer collaborative

Gregory C. Dann, Malcolm H. Squires, Lauren M. Postlewait, David A. Kooby, George A. Poultsides, Sharon M. Weber, Mark Bloomston, Ryan C. Fields, Timothy M. Pawlik, Konstantinos I. Votanopoulos, Carl R. Schmidt, Aslam Ejaz, Alexandra W. Acher, David J. Worhunsky, Neil Saunders, Edward A. Levine, Linda X. Jin, Clifford S. Cho, Emily R. Winslow, Maria C. RussellKenneth Cardona, Charles A. Staley, Shishir K. Maithel

Research output: Contribution to journalArticle

Abstract

Background Jejunostomy feeding tubes (J-tubes) are often placed during resection for gastric adenocarcinoma (GAC). Their effect on postoperative complications and receipt of adjuvant therapy is unclear. Methods Patients who underwent curative-intent resection of GAC at seven institutions of the U.S. Gastric Cancer Collaborative from 2000 to 2012 were identified. The associations of J-tubes with postoperative complications and receipt of adjuvant therapy were determined. Results Of 837 patients, 265 (32%) received a J-tube. Patients receiving J-tubes demonstrated greater incidence of preoperative weight loss, lower BMI, greater extent of resection, and more advanced TNM stage. J-tube placement was associated with increased infectious complications (36% vs. 19%; P

Original languageEnglish (US)
Pages (from-to)195-202
Number of pages8
JournalJournal of Surgical Oncology
Volume112
Issue number2
DOIs
StatePublished - Aug 1 2015

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Keywords

  • chemotherapy
  • complications
  • gastric cancer
  • jejunostomy tube
  • resection

ASJC Scopus subject areas

  • Surgery
  • Oncology
  • Medicine(all)

Cite this

Dann, G. C., Squires, M. H., Postlewait, L. M., Kooby, D. A., Poultsides, G. A., Weber, S. M., Bloomston, M., Fields, R. C., Pawlik, T. M., Votanopoulos, K. I., Schmidt, C. R., Ejaz, A., Acher, A. W., Worhunsky, D. J., Saunders, N., Levine, E. A., Jin, L. X., Cho, C. S., Winslow, E. R., ... Maithel, S. K. (2015). An assessment of feeding jejunostomy tube placement at the time of resection for gastric adenocarcinoma: A seven-institution analysis of 837 patients from the U.S. gastric cancer collaborative. Journal of Surgical Oncology, 112(2), 195-202. https://doi.org/10.1002/jso.23983